28
   This is the authors’ final peered reviewed (post print) version of the item published as:   Salmon, Jo, Timperio, Anna, Chu, Binh and Veitch, Jenny 2010, Dog ownership, dog walking and children's and parents' physical activity, Research quarterly for exercise and sport, vol. 81, no. 3, pp. 264271.    Available from Deakin Research Online:  http://hdl.handle.net/10536/DRO/DU:30031407   Reproduced with the kind permissions of the copyright owner.   Copyright : 2010, American Alliance for Health 

This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

  • Upload
    others

  • View
    3

  • Download
    0

Embed Size (px)

Citation preview

Page 1: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

   

 

Thisistheauthors’finalpeeredreviewed(postprint)versionoftheitempublishedas:  Salmon, Jo, Timperio, Anna, Chu, Binh and Veitch, Jenny 2010, Dog ownership, dog walking and children's and parents' physical activity, Research quarterly for exercise and sport, vol. 81, no. 3, pp. 264‐271.    

AvailablefromDeakinResearchOnline: http://hdl.handle.net/10536/DRO/DU:30031407   Reproduced with the kind permissions of the copyright owner.   

Copyright : 2010, American Alliance for Health 

Page 2: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

Dog ownership, dog walking and children’s and parents’ physical activity 1

2

Running head: Dog ownership & physical activity 3

4

5

Page 3: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

2

Abstract 1

This study aimed to determine cross-sectional associations between dog ownership, dog 2

walking and physical activity (PA) among children and their parents. Objective measures 3

of PA were obtained for children aged 5-6 and 10-12 years from 19 primary schools 4

across Melbourne, Australia. Parents self-reported their PA, dog ownership, and 5

frequency of dog walking. 53% of families owned a dog, 41% of children who owned a 6

dog did not walk their dog at all, and 32% reported never or rarely walking their dog as a 7

family. Dog ownership was associated with an additional 29 mins/day in PA among 8

younger girls, and 70 and 59 more minutes/week in PA among mothers of younger boys 9

and older girls, respectively. Among mothers of older girls, dog owners were 1.6 times as 10

likely to meet PA guidelines. Mothers with older boys and girls, and fathers with younger 11

boys, who reported walking the dog regularly as a family spent more time in PA (105, 90 12

and 158 more mins/week, respectively). The promotion of dog ownership and dog 13

walking among children and as a family are potential strategies for increasing 14

participation in PA among some families. 15

16

Key words: physical activity recommendations, walking, family17

Page 4: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

3

Dog ownership, dog walking and children’s and parents’ physical activity 1

Among adults, regular physical activity helps prevent obesity, cardiovascular 2

disease (CVD), hypertension, type 2 diabetes, some cancers, and premature mortality 3

(USDHHS, 1996). Among children, research has also shown some evidence of links 4

between physical inactivity and risk factors for CVD, overweight/obesity, type 2 5

diabetes, and positive associations between physical activity and psychosocial outcomes 6

and bone health (Biddle, Gorely, & Stensel, 2004). Physical inactivity has also been 7

associated with various indices of adiposity among children and youth (Lemura & 8

Maziekas, 2002). This is concerning because inactive children are likely to become 9

inactive adults (Kelder, Perry, Klepp, & Lytle, 1994), and physical activity tracks from 10

childhood to adolescence, and from adolescence to young adulthood (Trost & Pate, 11

1999). 12

Although promoting physical activity among adults and children is important for 13

population health, potential influences on physical activity must first be identified to 14

inform the development of effective strategies. Social influences have been identified as 15

important for children’s and adults’ physical activity (Sallis, Prochaska, & Taylor, 2000; 16

Trost, Owen, Bauman, Sallis, & Brown, 2002); however, the social environment has 17

usually been conceptualized in the form of peers, siblings or parents. Dog ownership may 18

also be an important social influence on physical activity among children and adults. For 19

example, children and/or their parents may walk their dog for companionship or may 20

engage in active play with their dog (e.g., running around with the dog or throwing a ball 21

or stick for their dog to fetch), which could contribute to overall physical activity levels. 22

Further, dogs may alleviate children’s and/or their parents’ concerns about neighborhood 23

Page 5: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

4

safety by providing a sense of ‘protection’ from personal harm (Cutt, Giles-Corti, 1

Knuiman, & Burke, 2007). Finally, responsibility for their pet’s health and wellbeing 2

could be a motivating factor for walking or playing with a dog (Brown & Rhodes, 2006). 3

As a public health initiative, dog walking may provide an important contribution 4

to the likelihood of meeting adult physical activity recommendations (Bauman, 5

Schroeder, Fuber, & Dobson, 2001; Cutt, Giles-Corti, Knuiman, & Burke, 2007; 6

Schofield, Mummery & Steele, 2005). No studies, however, have examined whether dog 7

ownership or dog walking are associated with physical activity levels among children and 8

their parents. Therefore, this cross-sectional study aimed to examine the association of 9

dog ownership and dog walking with physical activity among children and their parents. 10

11

Methods 12

Overview 13

Data for the current study were obtained from the ‘Children’s Leisure Activities 14

Study’ (CLASS) conducted in 2001 (Telford, Salmon, Timperio, & Crawford, 2005), 15

which included objective measures of children’s physical activity and a questionnaire 16

completed by a parent/carer/guardian (referred to herein as ‘parent’). Ethics approval was 17

received from the Deakin University Human Research Ethics Committee and from the 18

Department of Education and Training, Victoria, Australia. 19

20

Participants 21

Page 6: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

5

Participants in this study were students attending government primary 1

(elementary) schools in the eastern and western suburbs of Melbourne, Australia and their 2

parents. Melbourne is a sprawling urban city of approximately 4 million people across 3

9,000 square kilometers with a varied topography. Children in school grades Prep 4

(between 5-6 years of age) and 5 or 6 (between 10-12 years of age) and their parents were 5

recruited from 19 randomly selected schools from high and low socioeconomic status 6

(SES) areas based on the Socioeconomic Index for Areas (SEIFA) (Australian Bureau of 7

Statistics, 2001). Out of the 2,096 children who were given information about the study 8

and consent forms to take home to their parents inviting them to participate, 1,220 school 9

students (578 boys and 642 girls) and their parents returned consent forms to voluntarily 10

participate in this study (a response rate of 51% for schools in high SES areas and 36% 11

for schools in low SES areas). There were 294 children in the 5-6 year-old age group 12

(51% boys) and 926 children in the 10-12 year-old age group (46% boys). Of the 1,220 13

adults who completed the survey there were 1,001 mothers, 184 fathers, and the 14

remaining 35 respondents were grandparents, guardians or ‘other’. 15

16

Measures 17

Children were asked to take home a questionnaire for their parent to complete. 18

The measures described below have been previously reported (Telford, Salmon, Jolley, & 19

Crawford, 2004; Timperio, Salmon, Chu, & Andrianopoulos, 2008) and have been shown 20

to have test-retest reliability ranging from 0.54 to 0.95 (Intra-Class Correlations for 21

continuous variables) and a kappa value of 0.98 for dog ownership. 22

23

Page 7: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

6

Sociodemographic characteristics 1

Parents reported the child’s sex, date of birth, and their relationship to the child in 2

the study. They also reported their own sex, age, employment status (paid or no paid 3

employment), marital status (single or dual parent family), language spoken at home 4

(English or other), and the levels of education (less than year 12; year 12/trade certificate; 5

university). For those in a dual parent family, respondents were asked to complete these 6

same items on behalf of their partner. Tertiles of area-level SES were computed based on 7

the 2001 SEIFA score of each participants’ residential postcode (lowest, middle, highest). 8

9

Dog ownership and dog walking 10

Parents reported whether they own a dog (yes/no). The frequency that their child 11

walks a dog during a typical week (Monday to Friday) and weekend (Saturday and 12

Sunday) were summed to compute a total frequency of dog walking/week. These items 13

did not specify whether their child walked the dog alone or accompanied by others. 14

Parents also reported how frequently they walk a dog together as a family (i.e. at least 15

one adult walking the dog with the child) in a typical week. As few participants reported 16

walking the dog as a family ‘once per week’ or more, response options were 17

dichotomized as never/rarely (don’t know/doesn’t apply; never/rarely) and at least 18

once/month (1-2 times per month; once per week; several times per week; daily). 19

20

Parents’ physical activity 21

Parents reported the frequency and duration (hours/minutes) they participate in 22

vigorous-intensity physical activity which makes them breathe harder or puff and pant 23

Page 8: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

7

(e.g., tennis, jogging, cycling) in a usual week. They were also asked to report the 1

frequency and duration that they spend walking or doing other moderate-intensity 2

physical activities for at least 10 minutes continuously in a typical week (e.g., gardening, 3

walking the dog, golf, lap swimming). These physical activity questions were modified 4

from the Active Australia Survey and total duration of moderate- to vigorous-intensity 5

physical activity (MVPA) was calculated by summing the duration of moderate-intensity 6

and double the duration of vigorous-intensity physical activity (as per standard population 7

monitoring protocols) (Australian Institute of Health and Welfare, 2003). Mothers’ and 8

fathers’ MVPA were positively skewed and square-root transformations were therefore 9

performed. Untransformed values were used to dichotomize mothers’ and fathers’ MVPA 10

according to Australian adult physical activity guidelines (insufficiently active: <150 11

mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing, 12

2004). 13

14

Children’s physical activity 15

Parents reported the frequency that their child walked to school, walked the dog 16

and walked for exercise in a typical week (Monday to Friday) and weekend (Saturday 17

and Sunday). These variables were summed to compute total frequency of walking per 18

week. This variable was positively skewed and was therefore square-root transformed. 19

A uniaxial accelerometer1 was used to objectively assess children’s physical activity. The 20

accelerometer is designed to detect normal human movement in a non-controlled setting 21

without impeding activity. This device has been previously validated for monitoring 22

children’s physical activity in the field (Janz, 1994; Janz, Witt & Mahoney, 1995). 23

Page 9: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

8

Children wore the accelerometer on a nylon belt at their hip for eight consecutive 1

days. A complete day was defined as greater than 10,000 counts (equivalent to more than 2

10 hours of data) because it was unlikely that the accelerometer had been worn for the 3

majority of the day when the count was lower than this. Days in which total 4

accelerometer counts exceeded 20 million were also excluded from the analyses as this 5

indicated a possible malfunction of the accelerometer (Janz, Witt & Mahoney, 1995). 6

Movement counts recorded on day one and day eight for each child were excluded as 7

these typically did not represent full days. Most children in the sample (97%) had four or 8

more eligible days of data, and 92% had at least one weekend day. The mean time spent 9

in moderate- (3.0-5.9 metabolic equivalent units of rest [METs]) and vigorous-intensity 10

(6.0+ METs) physical activity was calculated using age-specific movement count 11

thresholds (Trost, Pate, et al., 2002). Minutes per day spent in MVPA were derived by 12

summing the time spent in each level of intensity on eligible days and dividing the total 13

by the number of days included. Children’s MVPA mins/day data were positively 14

skewed; thus a square-root transformation was performed. As only 4% of the younger age 15

group and 15% of the older age group failed to meet the national physical activity 16

recommendations, MVPA was analyzed as a continuous variable. 17

18

Statistical analysis 19

Data were analyzed with Stata/SE (Version 10.0). As previous physical activity 20

studies have shown that the influence of mothers and fathers on young people’s physical 21

activity can differ (Krahnstoever Davison & Schmalz, 2006), and consistent sex 22

differences in physical activity among adults (Trost, Owen, et al., 2002) and among 23

Page 10: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

9

mothers and fathers (Bellows-Riecken & Rhodes, 2008) have been reported, mothers’ 1

and fathers’ physical activity was analyzed separately. As noted earlier, a small number 2

of grandparents and guardians responded to the survey; carers other than the child’s 3

biological mother or father were assigned as ‘mother’ or ‘father’ based on their reported 4

sex for analysis purposes. Differences in children’s physical activity by the child’s age 5

and sex and differences in mothers’ and fathers’ physical activity by the age and sex of 6

their child were examined with independent t-tests (for transformed continuous outcome 7

variables) and Chi-square tests (for categorical data). Separate linear regression models 8

were used to examine associations between dog ownership and total walking 9

frequency/week (square root-transformed), and dog ownership and MVPA mins/day 10

(square root-transformed) among 5-6 and 10-12 year-old boys and girls. Neither parental 11

education level nor area-level SES were associated with children’s MVPA, therefore 12

analyses did not adjust for these variables. Linear regression models were also used to 13

examine associations between dog ownership and self-reported MVPA mins/wk (square 14

root-transformed) among mothers and fathers. Bivariate linear regression models were 15

performed to examine associations between frequency of the child walking the dog each 16

week (continuous variable), frequency of walking the dog as a family each week 17

(rarely/never vs ≥1-2 times/mth) and transformed children’s MVPA mins/day among dog 18

owners. As the frequency of the child and the frequency of the family walking the dog 19

each week were significantly correlated (r=.55), a multivariable model was not 20

performed. 21

Among mothers and fathers who were dog owners, bivariate linear regression 22

models were performed to examine associations between frequency of walking the dog as 23

Page 11: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

10

a family each week (rarely/never vs ≥1-2 times/mth) and transformed MVPA mins/wk. In 1

addition, binary logistic regression analyses were performed to determine odds ratios 2

(95% confidence intervals) of mothers and fathers meeting physical activity 3

recommendations according to dog ownership (overall sample) and, according to dog 4

walking as a family (among dog owners). To test for potential confounding by SES as 5

indicated by a recent study with adults (Tudor-Locke & Ham, 2008), associations 6

between frequency of walking the dog as a family, frequency the child walked the dog 7

and area-level and individual-level (parental education) were assessed. There were no 8

significant differences for either variable by SES; therefore, no further adjustments to 9

analyses were performed. Statistical significance for all analyses was set at p < .05 and all 10

regression analyses were adjusted for clustering by school. 11

12

Results 13

Socio-demographic characteristics 14

The final sample with complete data available included 1,151 children, 1,152 mothers 15

and 957 fathers. The majority of respondents were women (84%), most reported speaking 16

English at home (94%), 82% were dual parent families, and the mean age was 39.8±5.5 17

years. There was no significant difference in mean age of parents of 5-6 year olds 18

(37.0±5.5 yrs) compared with parents of 10-12 year olds (40.7±5.2 yrs). More than half 19

of the parents with younger children (54%) and over two-thirds of parents with older 20

children (70%) were in paid employment (p<.001). Maternal education levels were 21

evenly distributed across the sample, with 29% of mothers reporting less than 12 years 22

education, 37% completing 12 years, and 35% completing a university degree. Among 23

Page 12: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

11

fathers, 25% had less than 12 years education, 42% had completed 12 years education, 1

and the remainder had a university degree. Approximately 53% of parents reported that 2

they owned a dog. A higher proportion of children aged 10-12 years (56%) owned a dog 3

compared with the younger children (44%); there were no differences by sex. 4

5

Children’s and parents’ physical activity 6

Table 1 shows children’s and parents’ participation in physical activity. On average, 7

children spent more than two-and-a-half hours per day in MVPA, and had more than five 8

walking sessions per week. Based on accelerometry data (average MVPA mins/day), 9

older boys were significantly more active than older girls, and younger boys and girls 10

were more active than older boys and girls respectively. In contrast, parents reported a 11

significantly higher frequency of total walking sessions per week among older boys and 12

girls compared with younger boys and girls, respectively. Among mothers and fathers, 13

more than three-quarters reported meeting current national physical activity 14

recommendations for adults (≥150 mins/week). Apart from mothers of older girls self-15

reporting more MVPA mins/wk compared with mothers of younger girls, there were no 16

differences in parents’ physical activity according to the age and sex of their child. 17

18

INSERT TABLE 1 ABOUT HERE 19

20

Frequency of dog walking among dog owners 21

Among dog owners, children walked their dog on average 1.7 (SD=2.1) times/week; 22

however, 41% of children who owned a dog did not walk the dog at all. Two-thirds 23

(68%) of families who owned a dog walked the dog as a family at least 1-2 times/month 24

Page 13: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

12

and 32% reported never or rarely doing so. A higher proportion of younger boys (77%) 1

walked the dog as a family at least 1-2 times/month compared with older boys (64%, 2

p<.05). 3

4

Physical activity and dog ownership 5

Table 2 shows that dog ownership was positively associated with younger girls’ 6

transformed MVPA mins/day. When back-transformed, this equated to an additional 29.3 7

(95% CI: 5.5, 53.1) mins/day MVPA compared with non-dog owners. Dog ownership 8

was significantly associated with children’s frequency of total walking per week. On the 9

untransformed variable, this was equivalent to approximately 1.3 more walking sessions 10

per week among dog owners compared with non-owners. When stratified by age and sex, 11

this association was evident only among older girls, with those who owned a dog walking 12

more often (an additional 1.5 sessions/wk using untransformed data) compared with non-13

dog owners. 14

Mothers with younger boys and older girls who owned a dog were significantly 15

more active than non-owners. On untransformed MVPA, this was equivalent to 16

approximately 70 and 59 minutes more MVPA per week among mothers of younger boys 17

and older girls, respectively. Overall, dog-ownership was not significantly associated 18

with the odds of mothers or fathers meeting physical activity recommendations. 19

However, among mothers of older girls, dog owners had 1.62 (95% CI=1.09, 2.42) higher 20

odds of meeting national physical activity guidelines compared with non-dog owners. 21

22

INSERT TABLE 2 ABOUT HERE 23

Page 14: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

13

1

Dog walking and physical activity among dog owners 2

As shown in Table 3, among dog owners, mothers who reported walking the dog as a 3

family at least once/month spent more time in MVPA (untransformed 88 mins/wk) 4

compared with dog owners who did not walk the dog as a family. On stratification of the 5

sample by the child’s age and sex, significant findings were only evident among mothers 6

with older boys and girls (untransformed 105 mins/wk and 90 mins/wk, respectively). 7

Among fathers who were dog owners with younger boys, those who reported walking the 8

dog as a family at least once/month spent more time in MVPA (untransformed 158 9

mins/wk) compared with dog owners who reported never or rarely walking the dog as a 10

family. 11

Mothers who walked their dog as a family at least once/month had higher odds 12

(OR=2.19; 95% CI=1.44, 3.32; p<.001) of meeting physical activity recommendations 13

than those who did not walk the dog as a family. This was particularly so for mothers of 14

older boys (OR= 1.88, 95% CI=1.29, 2.75; p<.001) and older girls (OR=2.85, 95% 15

CI=1.32, 6.15; p<.01). There were no such associations for fathers. 16

17

INSERT TABLE 3 ABOUT HERE 18

19

Discussion 20

This study investigated associations of dog ownership and dog walking with 21

physical activity among an Australian sample of children and their parents. Owning a 22

dog was associated with higher levels of physical activity among younger girls, mothers 23

Page 15: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

14

with younger boys and mothers with older girls, and with higher frequency of walking 1

among older girls. Among dog owners, although dog walking was not associated with 2

physical activity among children, regular dog walking as a family was associated with 3

physical activity among mothers with older boys and girls, and fathers with younger 4

boys, and with meeting physical activity recommendations among mothers. Together, the 5

findings suggest that dog ownership and dog walking may be potentially fruitful 6

strategies for supporting physical activity among some families. 7

The findings among the mothers involved in this study are consistent with 8

previous research among adults that has shown that dog owners walk more than non-dog 9

owners (Bauman et al., 2001; Brown & Rhodes, 2006; Cutt, Giles-Corti, Knuiman, 10

Timperio, & Bull, 2008a; Schofield et al., 2005) and that dog owners who walk their dog 11

are more likely to meet physical activity recommendations compared with dog owners 12

who do not walk their dog (Coleman et al., 2008; Cutt, Giles-Corti, & Knuiman, 2008b; 13

Schofield, Mummery, & Steele, 2005; USDHHS, 1996). In this study, however, dog 14

ownership was only associated with additional physical activity among mothers, while 15

dog walking as a family was positively associated with physical activity among both 16

mothers and fathers and with meeting the physical activity guidelines among mothers. 17

Given that our measure did not specify which parent walked the dog with at least one of 18

their children (only that one parent walked the dog with the child); the limited findings 19

among fathers suggest that mothers may walk the dog with their child more frequently 20

than fathers. However, it should be noted that fewer fathers than mothers were included 21

in this study. These findings suggest that promoting family dog walking may be a 22

potential intervention strategy to increase physical activity among adults, possibly 23

Page 16: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

15

because it provides social support for walking, both from other family members and the 1

family dog. Social support has been shown to be an important correlate of walking among 2

adults (Ball, Bauman, Leslie, & Owen, 2001). It is also possible that the social interaction 3

gained through walking the dog as a family may encourage mothers and fathers to walk 4

more frequently. Future studies should explore the feasibility of promoting dog walking 5

among families. 6

Although there is some existing research among adults, this is the first study to 7

examine the role of dog ownership and dog walking on physical activity among children. 8

While owning a dog was found to have physical activity benefits among girls, there were 9

no associations among boys. There are several potential reasons for the lack of 10

associations among boys. First, it is possible that boys may spend less time with their 11

dogs than girls. Second, the nature of boy’s interactions with their dog may differ to that 12

of girls. For example, among younger girls, dog ownership but not dog walking was 13

associated with greater physical activity, suggesting that dog ownership may contribute to 14

physical activity of young girls mainly through active play. In addition, dog ownership 15

contributed to additional walking among older girls. Boys, in contrast, may engage in 16

activities with their dog that involve less physical activity for the child, such as playing 17

fetch. 18

Dog walking in general or as a family was not associated with physical activity 19

among either boys or girls. Children who owned dogs walked with them on average 1.7 20

times per week, however, this may not be sufficient to detect differences in overall 21

physical activity. Of note, 41% of children who owned a dog did not participate in any 22

dog walking. This is consistent with studies of adults that have also shown that not all 23

Page 17: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

16

dog owners walk their dog regularly (Bauman, Schroeder, Furber, & Dobson, 2001; Cutt, 1

Giles-Corti, & Knuiman, 2008b; Ham & Epping, 2006), though there appears to be 2

significant variation in the frequency of dog walking among dog owners (Cutt, Giles-3

Corti, Knuiman, & Burke, 2007). Future research should examine barriers to dog 4

walking specifically for children. 5

Among adults, recent research has found that owners who perceive that they have 6

good access to public open spaces with dog friendly features are more likely to walk with 7

their dog (Cutt, Giles-Corti, & Knuiman, 2008b), and that dog walkers are more likely to 8

live in high-walkable neighborhoods (Coleman et al., 2008). In addition, Cutt et al. 9

(2008b) found that dog owners who did not perceive that their dog provided motivation 10

or social support to walk more, were less likely to walk with their dog. In contrast, a 11

Canadian study found that dog owners who felt an ‘obligation’ to walk their dog were 12

more likely to do so than owners who did not feel such obligation (Brown & Rhodes, 13

2006). It is possible that barriers such as feeling no obligation to walk the dog or a lack of 14

social support for walking the dog may be overcome by walking the dog together as a 15

family. Although dog walking as a family was not associated with physical activity 16

among children in this study, this may be because our dichotomisation of this variable at 17

≥once/month may have been too infrequent to detect associations. It has also been 18

suggested that individuals who are less attached to their dog or who own a smaller breed 19

may be less likely to take their dog for a walk (Schofield, Mummery, & Steele, 2005). 20

Although unique, the results of this study must be considered in the context of 21

several limitations. The cross-sectional design and the proxy-reports where the 22

respondent provided information about the behaviour of their child and partner are 23

Page 18: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

17

limitations which may be prone to error. In addition, although this study included a large 1

sample of children of varying ages recruited from diverse geographic and socioeconomic 2

areas, the prevalence of dog ownership (53%) was higher than the national average of 3

about 40% of Australian households (Petcare Information and Advisory Service, 2002); 4

and there was a higher proportion of men and women meeting physical activity 5

recommendations compared with the estimated 60% of the general population meeting 6

recommendations in 2003 in the state of Victoria (Victorian Government Department of 7

Human Services, 2004) limiting the generalizability of the study findings. However, this 8

may simply reflect the fact that our sample comprises families with primary school-aged 9

children, rather than the general population. The number of years since the survey was 10

conducted (2001) is a further potential limitation. While there has been an increased 11

government focus on physical activity in Australia, the population prevalence among 12

adults and children shows little evidence of change in the last 8-9 years. The objective 13

measure of children’s physical activity was a strength of this study. 14

In summary, the results from this study were mixed, but show that physical 15

activity benefits can be gained from dog ownership among mothers and younger and 16

older girls; and dog walking as a family can benefit physical activity levels of mothers 17

and fathers. Considering that a large proportion of households own a dog and that a 18

substantial proportion of dog owners do not walk their dog, the promotion of dog 19

ownership is potentially an important strategy for increasing physical activity among 20

some families. In order to maximize the potential health benefits associated with dog 21

ownership, it will be important for future studies to investigate barriers to dog walking 22

Page 19: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

18

and strategies for overcoming these barriers and motivating dog owners to participate in 1

dog walking. 2

3

4

5

Page 20: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

19

References 1

2

Australian Bureau of Statistics, Socio-Economic Indexes. Census of Population and 3

Housing (www.abs.gov.au/ausstats), 2001. 4

Australian Institute of Health and Welfare (AIHW). (2003). The Active Australia Survey. 5

A guide and manual for implementation, analysis and reporting. AIHW: 6

Canberra. 7

Ball, K., Bauman, A.E., Leslie, E., & Owen, N. (2001). Perceived environmental 8

aesthetics and convenience and company are associated with walking for exercise 9

among Australian adults. Preventive Medicine, 43, 434-440. 10

Bauman, A.E., Schroeder, R.J., Furber, S.E., & Dobson, A.J. (2001). The epidemiology 11

of dog walking: an unmet need for human and canine health. The Medical Journal 12

of Australia, 175, 631-634. 13

Bellows-Riecken, K.H., Rhodes, R.E. (2008). A birth of inactivity? A review of physical 14

activity and parenthood. Preventive Medicine, 46, 99–110. 15

Biddle, S.J., Gorely, T., & Stensel, D.J. (2004). Health-enhancing physical activity and 16

sedentary behaviour in children and adolescents. Journal of Sports Science, 22, 17

679-701. 18

Brown, S.G., & Rhodes, R.E. (2006). Relationships among dog ownership and leisure-19

time walking in Western Canadian Adults. American Journal of Preventive 20

Medicine, 30(2), 131-136. 21

Page 21: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

20

Coleman, K.J., Rosenberg, D.E., Conway, T.L., Sallis, J.F., Saelens, B.E., Frank, L.D., et 1

al. (2008). Physical activity, weight status and neighborhood characteristics of 2

dog walkers. Preventive Medicine, doi:10.1016.j,ypmed.2008.05.007. 3

Cutt, H., Giles-Corti, B., Knuiman, M., & Burke, V. (2007). Dog ownership, health and 4

physical activity: A critical review of the literature. Health and Place, 13, 261-5

272. 6

Cutt, H., Giles-Corti, B., Knuiman, M., Timperio, A., & Bull, F. (2008a). Understanding 7

dog owners' increased levels of physical activity: Results from RESIDE. 2008 8

American Journal of Public Health, 98, 66-69. 9

Cutt, H., Giles-Corti, B., & Knuiman, M. (2008b). Encouraging physical activity through 10

dog walking: Why don't some owners walk with their dog? Preventive Medicine, 11

46, 120-126. 12

Department of Health and Aging (2004). Australia's Physical Activity Recommendations 13

for Children and Young People. Canberra, Department of Health and Ageing. 14

(www.health.gov.au). 15

Ham, S.A., & Epping, J. (2006). Dog walking and physical activity in the United States. 16

Preventing Chronic Disease, 3(2) A47. 17

Janz, K.F. (1994). Validation of the CSA accelerometer for assessing children's physical 18

activity. Medicine and Science in Sports and Exercise, 26(3), 369-375. 19

Janz, K.F., Witt, J., & Mahoney, L.T. (1995). The stability of children's physical activity 20

as measured by accelerometry and self-report. Medicine and Science in Sports 21

and Exercise, 27(9), 1326-1332. 22

Page 22: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

21

Kelder, S.H., Perry, C.L., Klepp, K.I., & Lytle, L.L. (1994). Longitudinal tracking of 1

adolescent smoking, physical activity, and food choice behaviours. American 2

Journal of Public Health, 84(7), 1121-1126. 3

Krahnstoever Davison, K., Schmalz, D.L. (2006). Youth at risk of physical inactivity may 4

benefit more from activity-related support than youth not at risk. International 5

Journal of Behavioral Nutrition and Physical Activity, 3:5. 6

Lemura, L.M., & Maziekas, M.T. (2002). Factors that alter body fat, body mass, and fat-7

free mass in pediatric obesity. Medicine and Science in Sports and Exercise, 34, 8

487-496. 9

Petcare Information and Advisory Service (PIAS). (2002). Australian Pet Ownership 10

Statistics. Melbourne, Australia. 11

Sallis, J.F., Prochaska, J.J., & Taylor, W.C. (2000). A review of correlates of physical 12

activity of children and adolescents. Medicine and Science in Sports and Exercise, 13

32, 963-975. 14

Schofield, G., Mummery, K., & Steele, R. (2005). Dog ownership and human health-15

related physical activity: an epidemiological study. Health Promotion Journal of 16

Australia, 16(1), 15-19. 17

Telford, A., Salmon, J., Jolley, D., & Crawford, D. (2004). Reliability and validity of 18

physical activity questionnaires for children: The Children's Leisure Activities 19

Study Survey (CLASS). Pediatric and Exercise Science, 16, 64-78. 20

Telford, A., Salmon, J., Timperio, A., & Crawford, D. (2005). Examining physical 21

activity among 5- to 6- and 10- to 12-year old children: the Children's Leisure 22

Activities Study. Pediatric and Exercise Science, 17, 266-280. 23

Page 23: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

22

Timperio, A., Salmon, J., Ball, K., Baur, L., Telford, A., Jackson, M., et al. (2008). The 1

family physical activity and sedentary environment and changes in children’s 2

adiposity. International Journal of Pediatric Obesity (April 1 - electronic 3

publication ahead of print). 4

Trost, S.G., & Pate, R.R. (1999). Physical activity in children and youth. In Lifestyle 5

Medicine, J. Rippe, Editor. Blackwell Science: Massachusetts, 663-673. 6

Trost, S.G., Pate, R.R., Sallis, J.F., Freedson, P.S., Taylor, W.C., Dowda, M., et al. 7

(2002). Age and gender differences in objectively measured physical activity in 8

youth. Medicine and Science in Sports and Exercise, 34(2), 350-355. 9

Trost, S.G., Owen, N., Bauman, A.E., Sallis, J.F., & Brown, W. (2002). Correlates of 10

adults' participation in physical activity: Review and Update. Medicine and 11

Science in Sports and Exercise, 34, 1996-2001. 12

Tudor-Locke, C., Ham, S.A. (2008). Walking behaviors reported in the American Time 13

Use Survey 2003–2005. Journal of Physical Activity and Health, 5, 633-647. 14

U.S. Department of Health and Human Services [USDHHS]. (1996). Physical Activity 15

and Health: A Report of the Surgeon General. Department of Health and Human 16

Services, Centres for Disease Control and Prevention, National Center for 17

Chronic Disease Prevention and Health Promotion: Alanta, G.A. 18

Victorian Government Department of Human Services. (2004). Victorian Population 19

Health Survey 2003. Published by Rural and Regional Health and Aged Care 20

Services, Victorian Government Department of Human Services, Melbourne, 21

Victoria. Also published on www.dhs.vic.gov.au/phd/healthsurveillance/ 22

23

24

Page 24: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

23

Author note 1

Acknowledgements 2

Data collection was funded by the Financial Markets Foundation for Children and 3

analyses funded by the Petcare Advisory Service, Inc. JS is supported by a National Heart 4

Foundation of Australia and sanofi-aventis Career Development Fellowship Award. AT 5

is supported by a Public Health Research Fellowship from the Victorian Health 6

Promotion Foundation. JV is supported by a National Heart Foundation of Australia Post-7

Doctoral Fellowship Award. 8

9

Authors 10

Associate Professor Jo Salmon*, Dr Anna Timperio, Dr Binh Chu, Dr Jenny Veitch 11

Centre for Physical Activity and Nutrition Research, Deakin University, 12

221 Burwood Hwy, Burwood, Victoria, 3125 Australia 13

14 * Corresponding author: 15 Associate Professor Jo Salmon 16 Centre for Physical Activity and Nutrition Research, Deakin University 17 221 Burwood Hwy, Burwood, Victoria 3125 18 Telephone: 61- 3 9251 7254; Fascimile: 61- 3 9244 6017 19 Email: [email protected] 20

21

Page 25: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

24

Footnote 1

1. Actigraph model AM7164-2.2C, Manufacturing Technology Inc., Fort Walton Beach 2

FL, USA.3

Page 26: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

25

Table 1. Physical activity participation of children by age and sex, and mothers and 1

fathers 2

3

Total sample 5-6 year old children 10-12 year old children

Boys

(n=132)

Girls

(n=131)

Boys

(n=404)

Girls

(n=484)

Children’s physical activity n=1151

MVPA mins/day (mean, sd)a 158.5 (72.0) 275.7 (59.4)† 252.1 (57.0)† 142.7 (38.2)† # 117.1 (36.3) † #

Total walking freq/wk (mean, sd)b 5.3 (5.1) 3.8 (4.2)† 4.6 (4.9) § 5.5 (5.3)† 5.7 (5.0) §

Mothers’ physical activity c n=1152

MVPA mins/wk (mean, sd) 346.6 (302.6) 317.1 (286.7) 297.4 (219.3)** 372.9 (389.2) 362.3 (340.6)**

≥150 MVPA mins/wk (%) 78 79.5 76.9 78.0 77.2

Fathers’ physical activity c n=957

MVPA mins/wk (mean, sd) 355.7 (352.2) 282.8 (237.0) 364.4 (566.6) 370.8 (397.4) 414.8 (472.0)

≥150 MVPA mins/wk (%) 76 69.0 71.3 78.0 78.2

Age differences within sex: **p<.05; §p<.01; †p<.001; Sex differences within age: *p<.05; #p<.001 4

Independent t-tests performed on transformed continuous variables (data presented as raw means); Chi-5

squared tests performed on categorical variables 6

Note. MVPA= moderate- to vigorous-intensity physical activity; ≥150 MVPA mins/wk= meeting national 7

physical activity guidelines 8 aaccelerometer data; bparental proxy-report; cparental self- and proxy-report 9

10

11

Page 27: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

26

Table 2. Linear regressiona (B coefficient, 95% confidence intervals [CI]) examining 1

associations between dog ownership and children’s and parents’ physical activity 2

Total sample 5-6 year old children 10-12 year old children

B (95% CI)

Boys

B (95% CI)

Girls

B (95% CI)

Boys

B (95% CI)

Girls

B (95% CI)

Children

MVPAb, c

Dog ownership (no vs yes) -0.04 (-0.45, 0.38) 0.19 (-.74, 1.14) 0.94 (0.15, 1.73)* 0.29 (-0.06, 0.62) 0.24 (-0.17, 0.66)

Total walkingb, d

Dog ownership (no vs yes) 0.36 (0.17, 0.56)# 0.30 (-0.09, 0.70) 0.34 (-0.25, 0.92) 0.28 (-0.03, 0.59) 0.38 (0.12, 0.64)**

Mother

MVPAb, e

Dog ownership (no vs yes) 1.18 (-0.14, 2.49) 2.56 (0.01, 5.1)* 2.11 (-0.51, 4.74) -0.73 (-2.93, 1.47) 1.90 (0.16, 3.64)*

Father

MVPAb, e

Dog ownership (no vs yes) 0.88 (-0.48, 2.25) 1.72 (-2.24, 5.68) -1.19 (-4.42, 2.04) 0.55 (-1.16, 2.27) 1.12 (-1.39, 3.63)

*p<.05, **p<.01, #p<.001; 3

Note. MVPA= moderate- to vigorous-intensity physical activity 4 aall analyses adjusted for clustering by school; bdependent variables square root transformed; caccelerometer data; 5 dparental proxy-report; eparental self- and proxy-report 6

7

8

Page 28: This (post print) of the item published asdro.deakin.edu.au/eserv/DU:30031407/salmon-dogownership...12 mins/week; sufficiently active: ≥150 min/week) (Department of Health and Ageing,

27

Table 3 Linear regressiona (B coefficient, 95% confidence intervals [CI]) examining 1

associations between child’s dog walking, dog walking as a family and children’s and 2

parents’ physical activityb among dog owners 3

Total sample 5-6 year old children 10-12 year old children

(n=593)

B (95% CI)

Boys (n=61)

B (95% CI)

Girls (n=56)

B (95% CI)

Boys (n=213)

B (95% CI)

Girls (n=267)

B (95% CI)

Children

Walk the dog (freq/wk)c -0.09 (-0.21, 0.04) -0.08 (-0.45, 0.28) 0.05 (-0.14, 0.24) -0.02 (-0.10, 0.06) 0.05 (-0.06, 0.16)

Walk the dog as a family

(never/rarely vs ≥1-2

times/mth)c

0.43 (-0.08, 0.95) 0.64 (-0.73, 2.0) 0.60 (-0.56, 1.74) 0.23 (-.44, 0.91) 0.17 (-0.39, 0.73)

Mother

Walk the dog as a family

(never/rarely vs ≥1-2

times/mth)c

2.65 (1.31, 3.98)# 2.29 (-0.2, 4.78) 0.32 (-4.1, 4.75) 3.0 (0.86, 5.15)** 2.82 (0.72, 4.93)*

Father

Walk the dog as a family

(never/rarely vs ≥1-2

times/mth)c

1.19 (-1.5, 3.89) 5.89 (0.67, 11.07)* 2.68 (-2.81, 8.17) 3.32 (-0.2, 6.83) -1.69 (-5.24, 1.86)

*p<.05, **p<.01, #p<.001 4 aall analyses adjusted for clustering by school; bOutcome variable MVPA log transformed, children’s 5

MVPA based on accelerometry data, parents’ MVPA based on self- and proxy-report; cExplanatory 6

variable in bivariate analyses 7